Cymbalta is used for healing depression and generalized anxiety disorder. It is useful for managing pain caused by fibromyalgia and diabetic peripheral neuropathy (DPNP). Cymbalta is a serotonin and norepinephrine re-uptake inhibitor (SNRI). It functions by restoring the stability of certain natural materials in the mind (serotonin and norepinephrine), which helps to enhance certain mood problems.
Use Cymbalta as directed by your physician.
Take Cymbalta by mouth with or without any food. Using it with food may help to reduce the likelihood of vomiting or upset stomach.
Swallow Cymbalta whole. Do not break, crush, or chew before swallowing. Don't open the tablet and scatter the items on meals or in liquid.
Take Cymbalta on a routine schedule to get the most advantage from it. Using Cymbalta simultaneously daily will help you remember to go.
Keep on to take Cymbalta also when you are feeling well. Do not skip any dose.
Do not abruptly quit taking Cymbalta without consulting your doctor. Side effects may occur. They may include mental or mood changes, numbness or prickling of skin, diarrhea, dizziness, confusion, headache, increased sweating, nausea, nightmare, buzzing in the ears, seizures, sleep disorders, unusual fatigue, or vomit. You're going to be closely monitored when you start Cymbalta and each time an alteration in dose is created.
In case you miss a dose of Cymbalta, go as soon as you can. When it is nearly time for your subsequent dose, omit the missed dose and return to your standard dosing timetable. Don't take 2 doses at the same time.
Ask your doctor any questions which may have about how to make use of Cymbalta.
Store Cymbalta at 77 degrees F (25 degrees C). Keep away from heat, dampness, and light. Don't store in the toilet. Keep Cymbalta outside of the reach of children and from animals.
Do NOT use Cymbalta if:
you are allergic to any element in Cymbalta
you have uncontrolled narrow-angle glaucoma
you have liver problems or acute kidney difficulties, or you're experiencing dialysis
you are taking or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last 14 days
you are taking a quinolone antibiotic (eg, ciprofloxacin), a selective serotonin reuptake inhibitor (SSRI) (eg, fluoxetine, fluvoxamine), an SNRI (eg, venlafaxine), thioridazine, or tryptophan.
Contact your doctor or physician immediately if any of these affect you.
Some medical conditions might interact with Cymbalta. Tell your physician or pharmacist if you hold any health problems, especially if any of these apply to you:
if you are pregnant, planning to eventually become pregnant, or are breast feeding
In case you are taking any prescription or nonprescription medication, herbal preparation, or dietary supplement
When you are allergic to medications, foods, or alternative materials
if you or even a family member has a brief history of bi-polar disorder (manic depression), other mental or mood problems, suicidal ideas or even attempts, or alcohol or substance misuse
For those who have a history of convulsions, heart problems (eg, heart failure, abnormal heartbeat), recent heart attack, hypertension, kidney issues, diabetes, gut or bowel problems (eg, slowed emptying), or increased eye stress (eg, glaucoma)
Have trouble urinating, if you're dehydrated, have low blood sodium levels, or consume alcohol.
Some medications might interact with Cymbalta. Inform your doctor if you're taking any medications, particularly any of the following:
5-HT1 receptor agonists (eg, sumatriptan), linezolid, lithium, MAOIs (eg, phenelzine), quinidine, rasagiline, SNRIs (eg, venlafaxine), SSRIs (eg, fluoxetine, fluvoxamine), Saint. John's wort, tramadol, or tryptophan because severe side effects, like a reaction which could include fever, inflexible muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, might occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti inflammatory medicines (NSAIDs) (eg, advil) as the risk of bleeding, including stomach bleeding, could be increased
Diuretics (eg, furosemide, hydrochlorothiazide) because the danger of reduced blood sodium levels may be raised
Cimetidine, medicines for hypertension, or quinolone antibiotics (eg, ciprofloxacin) because they may increase the risk of Cymbalta's side effects
Specific antiarrhythmics (eg, flecainide, propafenone), phenothiazines (eg, chlorpromazine, thioridazine), or tricyclic antidepressants (eg, amitriptyline) because the danger of their side effects might be raised by Cymbalta.
This may not be a whole list of all relationships that might occur. Ask your doctor if Cymbalta might interact with other medications that you take. Check with your doctor before you start, stop, or change the dosage of any medication.
Important security tips:
Cymbalta can cause drowsiness, dizziness, or blurred vision. These effects might be worse for it with alcohol or particular medicines. Use Cymbalta with caution. Don't drive or perform other possible dangerous tasks until you know how you respond to it.
Cymbalta may cause lightheadedness, light-headedness, or fainting; booze, hot weather, exercise, or fever may raise these effects. To keep them, sit-up or stand slowly, particularly in the morning. Sit or lay down at the very first hint of at least one of these effects.
Talk with your physician before you drink alcohol or use medications that might result in drowsiness (eg, sleep aids, muscle relaxers) while you're using Cymbalta; it may increase their outcomes. Ask your druggist if you have questions about which medicines might cause drowsiness.
Weeks may pass before your symptoms improve. Don't consider more than the suggested dose or use for longer than prescribed without checking with your physician.
Do not abruptly stop using Cymbalta. Some problems may become worse as soon as the medication is abruptly stopped or the dose of Cymbalta is reduced. Your dosage might have to be gradually lowered to decrease the danger of negative effects.
Kids and teenagers who take Cymbalta may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The threat could be greater in patients who have had suicidal thoughts or actions previously. The threat might likewise be greater in patients who've had bi-polar (manic depressive) illness, or whether their loved ones have had it. Observe individuals who take Cymbalta carefully. Contact the doctor at once if new, worsened, or abrupt symptoms like depressed mood; anxious, restless, or irritable behavior; panic disorder; or any strange change in feeling or conduct occur. Contact the doctor at once if any signs of suicidal thoughts or steps happen.
Serotonin syndrome is a potentially deadly syndrome that may be caused by Cymbalta. Your risk might be greater if you just take Cymbalta with specific other medications (eg, MAOIs, SSRIs, "triptans"). Signs could include agitation; coma; confusion; excessive perspiration; fast or irregular pulse; fever; hallucinations; nausea, vomiting, or diarrhoea; tremor. Contact your doctor immediately if you have any of these symptoms.
Neuroleptic malignant syndrome (NMS) is a potentially lethal syndrome which can be caused by Cymbalta. Signs may include confusion; rigid muscles; fever; strange thinking; rapidly or irregular pulse; and perspiration. Get in touch with your doctor at once if you have some of these signs.
Diabetes patients - Cymbalta may affect your blood sugar levels. Examine blood sugar carefully. Request your doctor before changing the dosage of your diabetes medication.
You're going to have to wait for five or more days before beginning to have certain other medicines (eg, MAOIs, if your physician tells you to truly quit taking Cymbalta). Request your doctor whenever you should begin to have your new medications after you have stopped taking Cymbalta.
Laboratory tests, including liver function and blood pressure, might be performed while you use Cymbalta. These tests may be utilized to track your state or check for side effects. Make sure you keep all physician and laboratory appointments.
Use Cymbalta with caution in the elderly; they might be more sensitive to its effects, particularly low blood sodium levels.
Caution is recommended when working with Cymbalta in children; they may become more sensitive to its effects, notably heightened risk of suicidal thoughts or actions.
Cymbalta must be utilized with extreme care in children; safety and effectiveness in children have not been affirmed.
Maternity and breast feeding: Cymbalta could cause injury to the fetus when it is used during the last 3 months of pregnancy. Should you become pregnant, contact your doctor. While you're pregnant you'll need to talk about the risks and benefits of using Cymbalta. Cymbalta is found in breast milk. Don't breast-feed while using Cymbalta.
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